MGBR Group LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

145841 Issued in TX

Legal business name

MGBR GROUP LLC

Practice address

3800 N FM 492
Mission, TX 78574

Phone

(956) 519-4966

NPI assigned

Oct 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blanca D Rosales

Title

Owner

Phone

(956) 519-4966

Specialties & licenses 3

Addresses

Other names 2

• MGBR GROUP L.L.C. Doing business as
• Special Moments Adult Day Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1609129352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N FM 492",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785744295",
            "telephone_number": "956-519-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N FM 492",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-519-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGBR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-519-4966"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "145841",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "135440",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "145841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGBR GROUP L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGBR GROUP L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Special Moments Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aroldo Mendiola, R.PH
• Berenice I. Mendoza, LMSW
• Miranda Lizette Mendoza, LPA
• Metamorf Nutrition LLC
• Nicholas Anthony Kevin Metcalf, MD
• Mi Casa Adult Daycare, Inc
• Mi Cielo DME LLC
• Mi Despertar PHC LLC
• Mi Laguna Adult Day Care LLC
• Mi Tierra Adult Day Care, LLC

• Preferred Provider Organization in Mission, TX
• Providers in Mission, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.